Form

Hepatitis A: case questionnaire

For health protection teams to use to collect surveillance information on cases of hepatitis A.

• From: UK Health Security Agency
• Published: 26 March 2015
• Last updated: 19 March 2024
  Show all updates

  1. 19 March 2024

     Updated questionnaire.

  2. 19 December 2023

     Updated form.

  3. 14 December 2022

     Added updated questionnaire.

  4. 29 June 2017

     Updated questionnaire in line with recent review of public health management guidance of hepatitis A.

  5. 16 December 2016

     Updated questionnaire in response to a number of hepatitis A clusters among MSM.

  6. 26 March 2015

     First published.

Applies to England

Documents

Hepatitis A: case questionnaire

MS Word Document, 141 KB

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Details

Surveillance form for health protections teams to collect information on cases of hepatitis A.